florence nightingale

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Discussion

billb

Original Poster:

3,198 posts

271 months

Tuesday 9th July 2002
quotequote all
Bit off topic but:

If a visitor comes to the food company I work for they have to sign to say that they have no diseases/had recent stomoch trouble etc. To go downstairs they have to put on full uniform/hairnets etc and wash their hands at least 3 times in different areas. No jewellery is allowed and inside clothes are not allowed outside as well as a multitude of other checks.

To visit my father in intensive care in hospital a few months ago I walked off the street straight into intensive care and could touch the patient. As could the nurse who had worn her uniform from home.

Patient infection rate in hospital is at record highs. Am I missing something here or is it basic common sense to have basic hygeiene in hospitals?!?! you dont even have to wash your hands to visit intensive care/wards - are the people in charge totally stupid? Like so many things in the news recently common sense seems to be missing?

oneelevens

33 posts

268 months

Tuesday 9th July 2002
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I know that Nurses in Scandinavia have to leave their uniforms at the hospital after work!!!!


>> Edited by oneelevens on Tuesday 9th July 11:38

plotloss

67,280 posts

276 months

Tuesday 9th July 2002
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A friend of mine used to work for Pentax Medical Camera's, basically building, cleaning and servicing endoscopes.

Entire lab area was completely clean, state of the art filtration systems etc etc.

Chairman of Pentax Japan comes over to visit the UK medical operation, proceeds to walk round the entire facility smoking a black cuban cigar.

Took 3 months and lots of cash to systematically change all the filters.

Does seem to be a lack of common sense on the whole.

Matt.

Neil Menzies

5,167 posts

290 months

Tuesday 9th July 2002
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quote:

Patient infection rate in hospital is at record highs. Am I missing something here or is it basic common sense to have basic hygeiene in hospitals?!?!

Road deaths are at about 3400/year.

Hospital deaths from infections contracted while in hospital run at about 5500/year.

Solution? More speed tax cameras...

mondeoman

11,430 posts

272 months

Tuesday 9th July 2002
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That kind of system costs money to install and monitor and operate. NHS Managers prefer to spend money on focus groups, other managers and admin rather than facilities and operational staff.

And IIRC you cant sue a hospital for dying in it, but you can sue a food manufacturer for giving you bellyache. Perhaps a test case is required under Human Rights, in that biscuits have better hygiene than patients.

nubbin

6,809 posts

284 months

Tuesday 9th July 2002
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C'mon, at least they're putting £20billion more into the NHS. - yeah, right - it'll make absolutely no difference whatsoever, and it'll still be a 3rd. rate service - and I work in it!! (Mind you, our surgery is teh world's best GP practice!!)

mondeoman

11,430 posts

272 months

Tuesday 9th July 2002
quotequote all
quote:

quote:

Patient infection rate in hospital is at record highs. Am I missing something here or is it basic common sense to have basic hygeiene in hospitals?!?!

Road deaths are at about 3400/year.

Hospital deaths from infections contracted while in hospital run at about 5500/year.

Solution? More speed tax cameras...



made me smile.......

pjg

46,643 posts

281 months

Tuesday 9th July 2002
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quote:

Does seem to be a lack of common sense on the whole.



Common sense is not all that common...


As for the NHS being third rate... what do you propose? Granted it may not be perfect - but what would you rather have? The American system? "sorry, your insurance doesn't cover this type of injury".. and then they leave you at the side of the road?

As someone who has had more than my fair share of knee operations (24) - all of which have been done privately, I can confirm that my last operation cost the insurance company in excess of £100,000 when physio was taken into account.

A mate of mine has recently had the same operation on his knee, but the NHS paid for it. For the record, both operations were successful and have the desired effect (i.e the knee works again!).

The NHS is often mailgned for being crap, but when you consider the cost of treatment, maybe it's not that bad after all. Private hospitals tend to get you in and out ASAP, and the urses are more liken wardens... whereas the poorly paid NHS lot certainly give the impression that they genuinely care for your welfare.

Mini-rant over.

billb

Original Poster:

3,198 posts

271 months

Tuesday 9th July 2002
quotequote all
The nurses and doctors when I was in recently were fantastic and I have no complaint about them at all. The conditions they worked in were appalling though and basic hygiene would save lives and in the long run work out cheaper.

CarZee

13,382 posts

273 months

Tuesday 9th July 2002
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I think the problem with maintaining the stansdard of hygene is to do with outsourcing to private cleaning contractors. The relationship is not being managed effectively (as is the case with most outsourcing relationships).

Bring it all back in house, under direct control of the regional health authority - then apply targets, standards and inspections.

ap_smith

1,997 posts

272 months

Tuesday 9th July 2002
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quote:
I know that Nurses in Scandinavia have to leave their uniforms at the hospital after work!!!!

Does this mean they walk home naked?

CarZee

13,382 posts

273 months

Tuesday 9th July 2002
quotequote all
quote:
quote:
I know that Nurses in Scandinavia have to leave their uniforms at the hospital after work!!!!
Does this mean they walk home naked?
I had that exact image in mind (well not quite naked )...

Decided against posting all and any obvious comments

nubbin

6,809 posts

284 months

Tuesday 9th July 2002
quotequote all
The principle problem of the NHS is that it is a political football. The only way to stop politicians doing their knee-jerk thing of chucking headline-grabbing sums of money at it, is to take it out of political control. I think we all agree that the NHS is a good thing, so why do we need to vote on it at each election? A more sensible system would be to have a standing NHS board, of medical, nursing and lay people, who have the task of deciding NHS policy based on health need, not political slant. It happens at the lower end of the scale, with NHS trusts, Primary Care Trusts etc. The difficulty in management is one of continual political interference, cash-limiting budgets, and pointless semi-clinical policy edicts with little relevance to medical need. There are a lot of very skilled, highly dedicated staff in the NHS, both clinical and managerial, but we have to work to reduce drug budgets, provide health care on a supermarket basis (I want it NOW!!!), yet have to try to implement different operating policies every single year.

It sometimes feels like - what's a suitable analogy? - football - Can you imagine the outcry if Sven said

"OK - we nearly won the world cup this year, so next year, we're going to use lower cost players, and only field 10 men. And, we'll operate a 4-2-2-2 formation for the first game, then 5-3-1-1, then next year we might do something else. Oh, and I need more coaches, so we'll cut the playing squad to 11 players, but they cannot go and play for their clubs after England games. However, we have decided to raise the standard by asking the entire crowd at every match to pay an extra £10, and we'll use that money to somehow build a new regime in English football, target the money at lots of new projects to make everything better, and we might build a new stadium. If it's not too expensive. Or big. Oh, and can I have the manager's job for the next 5 years, based on the facts I've just given you?"

>> Edited by nubbin on Tuesday 9th July 12:37

mel

10,168 posts

281 months

Tuesday 9th July 2002
quotequote all
It might actually be to do with the individual patients, the hospital and the ward policy. When my father in law was in St Thomas' ICU last year we had to "scrub up" well wash our hands using their super dooper kill everything scrub stuff and put on disposable gowns before we were allowed near him. Also each patient had their own Nurse to help reduce cross infection and dependant on the patients condition some were in more sterile environments. Just a thought but then again he was in a big central London hospital reputed to be one of the best.

billb

Original Poster:

3,198 posts

271 months

Tuesday 9th July 2002
quotequote all
didi he have something v infectious? u certainly dont have to scrub up to visit in the ward and i didnt to see my father in intensive care after open heart surgery - everyone there came and went as they pleased never mind security issues as well as hygeine

mel

10,168 posts

281 months

Tuesday 9th July 2002
quotequote all
It wasn't so much what he had but the fact he'd had an operation for lung cancer and then caught an infection on his lungs which put him in ICU basically any more infection would have killed him and ultimatly did, they were more concerned for him getting a "common cold" at that stage. But I must say security for entry all locked doors and video phones, and hygiene was all very good.

billb

Original Poster:

3,198 posts

271 months

Tuesday 9th July 2002
quotequote all
video phones?!?! must try a london hospital next time! only decent thing northampton had was a few electric beds ( bed goes up, bed goes down, bed goes up, bed goes down...hours of fun ).

mel

10,168 posts

281 months

Tuesday 9th July 2002
quotequote all
what they don't have the air filled vibrating massage beds ???? They really are the mutts nuts they have an air filled matress that adjusts the pressure and then gives your arms and legs a little rub down every now and again !!!